电话辅助、家长介导的认知行为疗法治疗农村拉丁裔青少年焦虑：一项可行性试验。
Telephone-assisted, parent-mediated CBT for rural Latino youth with anxiety: A feasibility trial.
机构信息
Department of Psychology, University of California, Los Angeles.
Department of Psychiatry, University of California, San Diego.
出版信息
Cultur Divers Ethnic Minor Psychol. 2018 Jul;24(3):429-441. doi: 10.1037/cdp0000186. Epub 2018 May 24.
OBJECTIVE
In this study, we tailor a child anxiety cognitive-behavior therapy (CBT) program to fit the needs of rural Latino/a Spanish-speaking families and examine the feasibility, acceptability, tolerability, and safety of this intervention using 2 modes of service delivery.
METHOD
Children (n = 31; age 8-13) with anxiety disorders were recruited from primary care settings and randomized to 1 of 2 modes of parent-mediated CBT bibliotherapy: (1) telephone-delivered, therapist-assisted bibliotherapy (TTB; n = 15), and (2) a more minimal contact, self-directed, bibliotherapy condition (SB; n = 16). Independent evaluators administered a diagnostic interview at baseline and posttreatment; demographic and engagement-related questionnaires were also administered.
RESULTS
In the TTB group, 10 of 15 parents (66.7%) completed the requisite number of therapist-assisted bibliotherapy sessions, and in the SB group, 4 of 16 parents (25%) completed the requisite number of self-directed bibliotherapy modules; this comparison was significant, χ2(1) = 5.43, p = .02. In the TTB condition, treatment length and session duration were longer than reported in previous studies. Barriers that were most strongly endorsed were stressors and obstacles competing with treatment, as well as treatment demandingness. Findings revealed good satisfaction across the conditions, although ratings were significantly higher in the TTB group, F = 5.67, p = .028. Remission rates (i.e., no anxiety disorder) for those that provided posttreatment data (N = 25) were 50% and 36% for the TTB and SB groups, respectively, χ2(1) = .465, p = .50.
CONCLUSIONS
Implications of these feasibility findings and suggestions for future research are discussed. (clinicaltrials.gov unique identifier: NCT01491880). (PsycINFO Database Record
目的
本研究旨在针对农村拉丁裔美国家庭的需求定制儿童焦虑认知行为疗法（CBT）方案，并通过两种服务提供模式，检验该干预措施的可行性、可接受性、耐受性和安全性。
方法
从初级保健机构招募患有焦虑障碍的儿童（n=31；年龄 8-13 岁），并将其随机分配到父母介导的 CBT 自助阅读的两种模式之一：（1）电话介导、治疗师辅助自助阅读（TTB；n=15），和（2）接触更少、自我指导的自助阅读条件（SB；n=16）。独立评估者在基线和治疗后进行诊断访谈；还进行了人口统计学和参与相关的问卷调查。
结果
在 TTB 组中，15 名父母中有 10 名（66.7%）完成了规定数量的治疗师辅助自助阅读课程，而在 SB 组中，16 名父母中有 4 名（25%）完成了规定数量的自我指导自助阅读模块；这一比较具有统计学意义，χ2（1）=5.43，p=0.02。在 TTB 条件下，治疗时间和疗程比之前的研究报告的要长。最强烈认可的障碍是与治疗竞争的压力源和障碍，以及治疗的需求性。结果显示，所有条件下的满意度都很好，尽管 TTB 组的评分明显更高，F=5.67，p=0.028。提供治疗后数据的（N=25）的缓解率（即无焦虑障碍）分别为 TTB 组和 SB 组的 50%和 36%，χ2（1）=0.465，p=0.50。
结论
讨论了这些可行性发现的意义和对未来研究的建议。（临床试验.gov 唯一标识符：NCT01491880）。
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